Application of homemade hernia needle under laparoscopy for inguinal hernia plus omentum adhesion in children

Objective To explore the feasibility and safety of homemade hernia needle under laparoscopy for inguinal hernia plus omentum adhesion in children. Methods Retrospective analysis was performed for 11 cases of inguinal hernia from August 2014 to August 2015. Eleven cases of omental adhesion were detected under laparoscopic. We used homemade hernia needle (utility model patent CN2015200065366.7 pending) ligation of proximal omentum and distal resection. Finally routine extra-peritoneal high ligation of hernial sac was performed. Results Eleven patients had no postoperative onset of active scrotum bleeding, swelling, pain or abdominal distension. After awakening, they ingested liquid food without discomfort. At Day 1 post-operation, hemoglobin was normal. After discharge, regular ultrasonic follow-ups were performed. Conclusions Laparoscopic high ligation of hernial sac is effective for omental adhesions. Homemade hernia needle has no postoperative onset of active bleeding or other discomforts. Wider popularization is recommended. Key words: Hernia, inguinal; Greater omentum; Surgical instrument